NPI | 1457636698 |
---|---|
Former Name | CORRIE FLETCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA 60466840) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP 60466840) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2018-06-18 |